| Upper GI endoscopy (EGD), diagnostic (43235) |
$1,900 |
$3,800 |
2.1× |
| Diagnostic colonoscopy (45378) |
$1,900 |
$3,800 |
2.0× |
| Laparoscopic gallbladder removal (47562) |
$5,275 |
$10,550 |
0.9× |
| Inguinal hernia repair (age 5+) (49505) |
$4,713 |
$9,425 |
1.3× |
| Cataract removal with lens insertion (66984) |
$1,994 |
$3,987 |
0.9× |
| CT head/brain without contrast (70450) |
$491 |
$981 |
4.7× |
| MRI brain without contrast (70551) |
$897 |
$1,794 |
3.7× |
| MRI brain with contrast (70552) |
$915 |
$1,830 |
2.6× |
| MRI brain without and with contrast (70553) |
$1,561 |
$3,122 |
4.5× |
| X-ray lower spine, 4+ views (72110) |
$169 |
$338 |
1.6× |
| MRI lumbar spine without contrast (72148) |
$897 |
$1,794 |
3.7× |
| CT pelvis with contrast (72193) |
$633 |
$1,266 |
3.6× |
| MRI lower-extremity joint without contrast (73721) |
$897 |
$1,794 |
3.7× |
| CT abdomen and pelvis with contrast (74177) |
$856 |
$1,712 |
2.4× |
| Ultrasound, abdomen complete (76700) |
$169 |
$338 |
1.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) |
$136 |
$271.50 |
1.3× |
| Ultrasound, transvaginal (76830) |
$131 |
$262 |
1.2× |
| Mammography, one breast (diagnostic) (77065) |
$67 |
$134 |
0.8× |
| Mammography, both breasts (diagnostic) (77066) |
$70.50 |
$141 |
0.6× |
| Mammography, screening (bilateral) (77067) |
$57 |
$113 |
0.6× |
| Basic metabolic panel (80048) |
$85 |
$170 |
10.0× |
| Comprehensive metabolic panel (80053) |
$138 |
$276 |
13.1× |
| Lipid panel (80061) |
$55 |
$110 |
4.1× |
| Renal function panel (80069) |
$74 |
$148 |
8.5× |
| Hepatic function panel (80076) |
$84 |
$168 |
10.3× |
| PSA, total (84153) |
$104 |
$207.50 |
5.7× |
| Thyroid stimulating hormone (TSH) (84443) |
$64 |
$128 |
3.8× |
| CBC with automated differential (85025) |
$22.50 |
$44.50 |
2.9× |
| CBC, automated (85027) |
$27 |
$53 |
4.2× |
| Prothrombin time (PT) (85610) |
$19 |
$37 |
4.4× |
| Partial thromboplastin time (PTT) (85730) |
$21.50 |
$42 |
3.6× |
| Psychotherapy, 30 minutes (90832) |
$53 |
$106 |
0.3× |
| Psychotherapy, 45 minutes (90834) |
$71 |
$141 |
0.4× |
| Psychotherapy, 60 minutes (90837) |
$106 |
$211 |
0.6× |
| Electrocardiogram (ECG), complete (93000) |
$26 |
$51 |
0.4× |
| Sleep study (attended polysomnography) (95810) |
$1,288 |
$2,575 |
1.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) |
$49 |
$98 |
1.7× |
| Office visit, new patient (low complexity, ~30 min) (99203) |
$120 |
$240 |
0.9× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) |
$182 |
$363 |
1.4× |
| Office visit, new patient (high complexity, ~60 min) (99205) |
$243 |
$485 |
1.8× |
| Office consultation (low complexity, ~30 min) (99243) |
$45 |
$89 |
0.3× |
| Office consultation (moderate complexity, ~40 min) (99244) |
$64 |
$127 |
0.5× |
| Preventive visit, new patient (age 18–39) (99385) |
$110 |
$220 |
— |
| Preventive visit, new patient (age 40–64) (99386) |
$99 |
$198 |
— |